DENTISTRY FOR CHILDREN OF IOWA 2, PLLC (NPI# 1457996365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457996365 |
Entity Type | Organization |
Organization Name | DENTISTRY FOR CHILDREN OF IOWA 2, PLLC |
Practice Address |
1738 Lininger Ln North Liberty IA 52317-2316 |
Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 |
Practice Telephone | 3196652573 |
Mailing Telephone | 7706921000 |
Enumeration Date | 2019-11-14 |
Last Update Date | 2019-11-14 |
Authorized Official Name | TAMONIA LEONARD (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 6782444844 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Street Address |
1738 LININGER LN |
City | NORTH LIBERTY |
State | IA |
Zip Code | 52317-2316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625478 | Loving House of Hearts | In Home Supportive Care | 1129 Winchester Lane, North Liberty, IA 52317 | 2019-12-02 |
1508428673 | Sensory Kids Iowa | Speech-Language Pathologist | 754 Community Drive, Unit H, North Liberty, IA 52317 | 2019-06-28 |
1720443948 | Sarah Gallagher | Social Worker | 320 W Cherry St, North Liberty, IA 52317 | 2015-12-15 |
1902279797 | Emily Sara Logan | Social Worker | 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 | 2015-11-03 |
1033515408 | Ashley Sconzo | Contractor | 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 | 2014-11-13 |
1679900146 | Brianna June Clarahan | Physical Therapist | 1565 Cedar Springs Drive, North Liberty, IA 52317 | 2013-09-30 |
1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
1023141330 | Meadowlark Partners LLC | Clinical Neuropsychologist | 320 W. Cherry St, North Liberty, IA 52317 | 2007-03-14 |
1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
Find all providers in zip 52317 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063516060 | Kaaren Giselle Vargas | Dentist | 1730 Lininger Ln, North Liberty, IA 52317-2322 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528681897 | The Children's Dental Center, Pllc | Dentist | 2761 Oakdale Blvd Ste 4, Coralville, IA 52241-9754 | 2020-05-21 |
1659934701 | Grimes Pediatric Dentistry P C | Dentist | 1551 Se 3rd St Ste 100, Grimes, IA 50111-8861 | 2019-04-15 |
1215316633 | Kaitlin Joy Hoogeveen | Dentist | 164 S Main Ave, Sioux Center, IA 51250-1536 | 2015-05-19 |
1760801062 | Diana Pelzer | Dentist | 1250 Se University Ave, Waukee, IA 50263-8831 | 2014-04-15 |
1245656800 | Iowa Pediatric Dental Center II LLC | Dentist | 5350 Kirkwood Blvd Sw, Suite 700, Cedar Rapids, IA 52404-5233 | 2014-03-06 |
1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
1821433160 | Nicholas Wade Barnard | Dentist | 4090 Westown Pkwy Ste B1, West Des Moines, IA 50266 | 2013-04-30 |
1962745471 | Samuel Christensen | Dentist | 2575 N Ankeny Blvd Ste 205, Ankeny, IA 50023-4710 | 2013-04-03 |
1477818326 | Julie Ann Smith | Dentist | 800 E 1st St Ste 2800, Ankeny, IA 50021-2077 | 2012-07-06 |
1043507890 | Molly Bremen | Dentist | 7600 Fleur Dr, Des Moines, IA 50321-3111 | 2011-06-30 |
Find all providers with the same taxonomy |
City | NORTH LIBERTY |
Zip Code | 52317 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.